MOUNIKA MUKHERJEE PEETHALA
NPI 1013609957
Family Medicine in Tamaqua, PA

Q: What is Mounika Mukherjee Peethala's NPI number?

The NPI number for Mounika Mukherjee Peethala is 1013609957. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Q: What is Mounika Mukherjee Peethala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 22, 2023PECOS Enrolled

34 S RAILROAD ST, TAMAQUA, PA 18252(570) 645-1950(833) 679-4141 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2024, May 22, 2023 (2 updates tracked since 2023).

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About Mounika Mukherjee Peethala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNIKA MUKHERJEE PEETHALA (NPI 1013609957) is an individual family medicine provider in Tamaqua, Pennsylvania, licensed in Pennsylvania (MT228501) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Easton.

NPPES Registry Identity

NPI1013609957

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMOUNIKA MUKHERJEE PEETHALA

Location Address34 S RAILROAD STTamaqua, PA 18252-1927

Mailing Address34 S Railroad StTamaqua, PA 18252-1927 · (570) 645-1950 · Fax (833) 679-4141

Phone(570) 645-1950

Fax(833) 679-4141

Sole ProprietorNo

Enumeration DateMay 22, 2023

Last NPPES UpdateJune 7, 20242 updates tracked since enumeration

NPPES CertifiedJune 7, 2024

✔ NPI 1013609957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MT228501

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT228501 (PA)

34 S RAILROAD ST, Tamaqua, PA 18252

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Secondary Practice Location 1

Location 1400 S. Greenwood AvenueEaston, PA 18045 · Phone (484) 503-4007

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mounika Mukherjee Peethala is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18252 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEREDITH RIDEOUT MD

Student in an Organized Health Care Education/Training Program